Odd Fellow And Rebekah Nursing Home - Ennis Nursing Home
General Information
UPDATEFederal Provider Number
675150
Provider Name
ODD FELLOW AND REBEKAH NURSING HOME
Provider Address
2300 SOUTH OAK GROVE RD
ENNIS, TX 75119
ENNIS, TX 75119
Provider Phone Number
(972) 875-8643
Provider SSA County
470
Provider County Name
Ellis
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
136
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
INDEPENDENT ORDER OF ODD FELLOWS
Date First Approved to Provide Medicare and Medicaid services
1993-05-06
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.33235
Reported LPN Staffing Hours per Resident per Day
1.43382
Reported RN Staffing Hours per Resident per Day
0.49559
Reported Licensed Staffing Hours per Resident per Day
1.92941
Reported Total Nurse Staffing Hours per Resident per Day
4.26176
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16838
Expected CNA Staffing Hours per Resident per Day
2.38434
Expected LPN Staffing Hours per Resident per Day
0.64273
Expected RN Staffing Hours per Resident per Day
1.12093
Expected Total Nurse Staffing Hours per Resident per Day
4.14800
Adjusted CNA Staffing Hours per Resident per Day
2.40020
Adjusted LPN Staffing Hours per Resident per Day
1.85158
Adjusted RN Staffing Hours per Resident per Day
0.33036
Adjusted Total Nurse Staffing Hours per Resident per Day
4.14145
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
600
Cycle 1 Standard Survey Health Date
2014-07-10
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
600
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-07-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
12
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
336.00000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
9
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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